Mrs Dezari M Dykstra, RN-MSN,FNP, APNP - Medicare Nurse Practitioner in West Allis, WI

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Mrs Dezari M Dykstra, RN-MSN,FNP, APNP is a medicare enrolled "Nurse Practitioner - Family" in West Allis, Wisconsin. Her current practice location is 2514 S 102nd St Ste 160, West Allis, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (434) 255-0300.

Mrs Dezari M Dykstra is licensed to practice in Wisconsin (license number 5964-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225105786.

Contact Information

Mrs Dezari M Dykstra, RN-MSN,FNP, APNP
2514 S 102nd St Ste 160,
West Allis, WI 53227-2142
(434) 255-0300
Not Available

Map and Direction




Provider's Profile

Full NameMrs Dezari M Dykstra
GenderFemale
SpecialityNurse Practitioner - Family
Location2514 S 102nd St Ste 160, West Allis, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225105786
  • Provider Enumeration Date: 11/29/2006
  • Last Update Date: 04/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3375860281
  • Enrollment ID: I20240501000711

Medical Identifiers

Medical identifiers for Mrs Dezari M Dykstra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225105786NPI-NPPES
39877800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 148986-030 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 5964-33 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Dezari M Dykstra allows following entities to bill medicare on her behalf.
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659484657
PECOS PAC ID: 9234041948
Enrollment ID: O20040322000734

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Dezari M Dykstra is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Dezari M Dykstra, RN-MSN,FNP, APNP
Po Box 639295 Dept 93394,
Cincinnati, OH 45263-9295

Ph: (248) 266-4200		Mrs Dezari M Dykstra, RN-MSN,FNP, APNP
2514 S 102nd St Ste 160,
West Allis, WI 53227-2142

Ph: (434) 255-0300

Reviews and Comments


Nurse Practitioner Nurses in West Allis, WI

Taranpreet Kaur,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227
Phone: 414-328-6000    
Paul Facchiano, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6609 W Greenfield Ave, West Allis, WI 53214
Phone: 414-257-8500    
Michelle Cyr, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2514 S 102nd St Ste 160, West Allis, WI 53227
Phone: 414-255-0300    
Christina Lindsay, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1709 S 70th St, West Allis, WI 53214
Phone: 414-510-9078    
Autumn D Unrein, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2424 S 90th St Fl 2, West Allis, WI 53227
Phone: 414-328-8777    Fax: 414-328-8110
Stephanie Schell,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2424 S 90th St Fl 3, West Allis, WI 53227
Phone: 414-328-8270    Fax: 414-328-8275
Katelyn Nieman, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2514 S 102nd St Ste 160, West Allis, WI 53227
Phone: 414-255-0340    Fax: 855-342-0199

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.